Joint Pain Assessment Tool
Select the joint(s) where you feel pain.
Click on the highlighted areas on the diagrams below. Click again to deselect.
Selected Joints:
- None selected yet.
Describe your pain.
Mild
5
Severe
How does the pain impact your daily life?
Impact on your ability to get a good night's sleep:
Impact on daily activities (e.g., walking, dressing, climbing stairs):
Impact on your mood (e.g., feeling irritable, anxious, or down):
Your Joint Pain Summary
Pain Location
Pain Characteristics
- Severity:
- Type:
- Frequency:
- Duration:
Impact on Daily Life
- On Sleep:
- On Daily Activities:
- On Mood: